Active NPI
Gregory Ray Stewart, R.PH.
- Pharmacist
- Pennington Gap, VA
National Provider Identifier
1386657583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202005288
- Practice address
- 209 W Morgan Ave
Pennington Gap, VA 24277-2315 - Phone
- (276) 546-1551
- NPI assigned
- Aug 15, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202005288 | VA | Primary |
Addresses
Primary practice location
209 W Morgan Ave
Pennington Gap, VA 24277-2315
Mailing address
PO Box 183
Ben Hur, VA 24218-0183
Phone (276) 346-4166
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202005288 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennington Drug Center Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Pennington Pharmacy
- Community/Retail Pharmacy
- Pennington Gap, VA
- NPI 1649204025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386657583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 183",
"city": "BEN HUR",
"state": "VA",
"postal_code": "242180183",
"telephone_number": "276-346-4166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 W MORGAN AVE",
"city": "PENNINGTON GAP",
"state": "VA",
"postal_code": "242772315",
"telephone_number": "276-546-1551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "GREGORY",
"middle_name": "RAY",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202005288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pennington Gap, VA
- Southern Home Respiratory & Equipment, Inc.
- SP Lee LLC (Lee Health & Rehab Center)
- Kenneth Patton Speak, CRNA
- Mona Speak, DNP, FNP-BC
- Kala Rutherford Stapleton
- Valerie Renee Taylor, PTA
- Winston Joshua Terry
- The Carson Black Lung Research and Education Center
- Town of Pennington Gap
- Chanda Varandani, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.